Effectiveness of acute myocardial infarction interventions on selected outcomes among community dwelling-older adults: a systematic review and meta-analysis

被引：3

作者：

Banharak, Samoraphop ^{[1
]}

Metprommarat, Alin ^{[2
]}

Mahikul, Wiriya ^{[3
]}

Jeamjitvibool, Thanakrit ^{[4
]}

Karaket, Anusorn ^{[5
]}

机构：

[1] Khon Kaen Univ, Fac Nursing, Dept Gerontol Nursing, Khon Kaen, Thailand

[2] Queen Sirikrit Heart Ctr Northeast, Khon Kaen, Thailand

[3] Chulabhorn Royal Acad, Princess Srisavangavadhana Coll Med, Bangkok, Thailand

[4] Chulabhorn Royal Acad, Princess Agrarajakumari Coll Nursing, Bangkok, Thailand

[5] Rasisalai Hosp, Nursing Dept, Rasi Salai, Sisaket, Thailand

来源：

SCIENTIFIC REPORTS | 2023年 / 13卷 / 01期

关键词：

REDUCE PATIENT DELAY; RAPID EARLY ACTION; CHEST-PAIN; EMERGENCY; FIREFIGHTERS; SYMPTOMS; TIME;

D O I：

10.1038/s41598-023-45695-y

中图分类号：

O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];

学科分类号：

07 ; 0710 ; 09 ;

摘要：

The older adult is an influential group experiencing acute myocardial infarction, delaying treatment and causing a high mortality rate. Factors related to their delay differ from other age groups, and their specific characteristics are barriers to recognizing their symptoms and learning new information. Therefore, specific innovative methods related to their limitations and needs should be considered when developing interventions promoting on-time treatment. This study aims to review intervention details and their effects on knowledge, belief, decision-making, rate of calling 911, and mortality among community-dwelling older adults at risk or after a first myocardial infarction compared to receiving usual care or no intervention. The 12 databases were searched unlimitedly until July 30, 2022. The two researchers independently reviewed the articles, and the third reviewer broke the tight when disagreement was found. Data were extracted, kinds of interventions were grouped, and intervention details were summarized narratively. Finally, the selected outcomes were analyzed by meta-analysis using a fixed and a random-effects model. Eleven articles were for final review. Interventions were categorized into eight groups: direct mail, community-based, multi-group health education, innovation methods, tailored education, structured education, tricked intervention promoting memory and concern, and nurse-based case management. Finally, the meta-analysis found that only innovative methods could increase the rate of calling 911 and taking aspirin (Odd ratio = 2.55; 95% CI = 1.01-6.44). In contrast, there were no statistically significant differences in the rate of affecting time to first unplanned readmission or death and time delay to the emergency room. Results recommended that effective and specific interventions must be developed and strengthened to promote older adults surviving acute myocardial infarction.Clinical Trial Registration Number: PROSPERO CRD42021247136.

引用

页数：20

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